Kids also can break a bone in an accident or while playing sports. It always hurts to break a bone. There also might be swelling and bruising.
The injured area may be hard to move and use. Most broken bones are treated with a cast , splint , or brace. This keeps the broken bone from moving while it heals. Even broken bones that don't line up called displaced often will heal straight over time. Sometimes the displaced bones need to be put back in place before the cast, splint, or brace is put on. Blood vessels provide bone with oxygen and chemicals called growth factors that encourage healing.
Diabetes , a condition that affects how the body processes sugar, may reduce the concentration of nutrients in the blood and decrease blood flow. Both factors increase the risk of a nonunion or delayed union fracture. In addition, smoking cigarettes can interfere with adequate blood flow to bones.
Doctors recommend quitting smoking as part of any treatment plan for a nonhealing fracture. Some anti-inflammatory medications, such as ibuprofen and corticosteroids, can reduce blood flow and increase the risk of a nonhealing fracture.
Doctors recommend avoiding these medications until a fractured bone has fully healed. Bones also need adequate nutrition to regenerate. Low levels of vitamin C, vitamin D, and calcium may prevent a bone from healing.
An infection in the bone, which is called osteomyelitis , may also delay or prevent healing. A bone can become infected if bacteria from a wound on the surface of the skin travel through the bloodstream to the bone. This may occur as a result of an injury or a surgical incision. Your doctor may ask how the fracture occurred, when it occurred, and whether you still feel pain at the site of the fracture.
You should also tell your doctor if you have had previous fractures that healed slowly or not at all. Your doctor examines the skin surrounding the fracture site for signs of infection, such as redness or swelling. Signs of a malunited fracture, such as a bump beneath the skin, weakness, or pain, may also be apparent. If a decision for surgery is made after seeing one of our Orthopaedic Hand Surgeons, you may require pre-operative medical clearance by our Anesthesia department or your Primary Care Provider.
This depends on your other chronic medical conditions. Your surgeon will let you know if this clearance is necessary. Selecting a health care provider is a very important decision. Because we are highly experienced in treating malunion fractures and all conditions of the musculoskeletal system, we would like to help you explore your options.
Visit our Contact Us page to see a list of clinics and their contact information. Our staff will be glad to talk with you about how we can help. Updated visitor guidelines. Malunion Fractures. A wrist that does not flex or extend to allow normal use. Altered use or function of the involved limb. The most common causes of nonunion are: Use of tobacco or nicotine in any form.
This includes smoking, chewing tobacco, and use of nicotine gum or patches. Older age Infection Diabetes Severe anemia Medications including anti-inflammatory drugs such as aspirin, ibuprofen, and prednisone. Orthopedists at Ventura Orthopedics treat common bone healing complications, including: Bone infections osteomyelitis. Infections can occur when bacteria enter the body during a trauma. Less commonly, infections can happen during surgery to set a bone. Inadequate blood flow to the bone: Healing bones get many factors delivered by the blood supply, including the cells that repair the broken area, growth factors, and oxygen.
Some bones have a limited blood supply and in other cases, the supply is disrupted by the injury. Separation of the fractured ends of the bone : The bones may not have been set close enough for a union, or may have separated after stabilization. Inadequate stabilization of the fracture : Stabilization is one of the key parts of treating broken bones.
If the fracture was not able to be set properly, a nonunion might result. Sometimes a cast is not sufficient, and the fracture must be stabilized with screws, rods, plates, and other fixation methods Bone Complications: What to Look For It is important to know the warning signs of a bone healing complication so you can alert your doctor. Imaging : Usually, imaging of the site in question begins with X-rays.
Surgery : The goal of treatment is to realign your bone in a position that improves the function of the upper extremity. Your surgeon may need to re-break the bone to realign the fracture.
Depending on the type of malunion, some of the bone may need to be trimmed to allow for proper orientation of the fractured ends. Prevention The best thing a patient can do to prevent a nonunion is to avoid smoking.
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